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~� LAND USE REPORT <br /> APP <br /> To Be completed and Submitted by <br /> Date Issued <br /> ADDRESS UPA _ �5 � UD <br /> 0c, d, <br /> APKICANT'S NAME • • ADDRESS <br /> PROPOSED USE/CHA11GE <br /> In completing the Lard Use investigation draw all Public Health factors on the exhibit. <br /> (i.e.) Sewage disposal, water supplies, etc. Where necessary, draw complete map of <br /> area showing population density, location of housed, wind direction, etc„ on an attached <br /> piece of plain paper. <br /> Size of Parcel Requirements sq. ft. <br /> Public Water (name) Public Sewerage (name) <br /> SUMMARY.OR COMMENTS: .. <br /> J • <br /> F <br /> 2. <br /> 3. <br /> On basis of above, I recommend:.. Approval Denial Continuance '' "C' <br /> Signed <br /> FOR OFFICE USE ONLY � � <br /> Report to Planning Standard Paragraph -Approval Disapproval Continuance.Q .; <br /> I <br /> ER 06 06 3/71 nn�tr.� 11/83 1,500 <br />